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Dr. Terry Warren and Steve Dale: Conversations to Have with Vets - Where did you get that information?
1. Conversations to Have
with Vets: Where Did You
Get That Information?
Terry T. Warren, PhD, JD
Steve Dale, CABC
2. The State of the Bloggosphere
2011 Survey by Technorati™ Media
Bloggers say their number one influencer on what to blog
about is other bloggers.
More than two-thirds of bloggers believe blogs are being
taken more seriously.
Only around one-third of bloggers have been employed by
a traditional media outlet.
Blogs out pace other social media and many types of
traditional media in consumer trust.
3. The Blogger’s
Responsibility
Journalistic Integrity
Your are shaping the conversation on pet topics
Your blogs are being accepted as fact
Readers have selective perception
Is the message you intend to send the message you are
actually sending?
Legal Considerations
4. The Importance of Veterinarians
Questions regarding a specific pet’s health should be
reserved for a veterinarian.
Diagnoses cannot be made without seeing the animal.
However you can and must be prepared. Reputable animal
health resources are
available for you and
your readers!
5. Veterinary Specialties
The American Veterinary Medical Association recognizes several specialty boards. Veterinarians
who are diplomates of these boards have completed specialized training in their respective fields
of medicine.
American Board of Veterinary Practitioners
American College of Veterinary Ophthalmologists
American Board of Veterinary Toxicology
American College of Veterinary Radiology
American College of Veterinary Anesthesiologists
American College of Veterinary Surgeons
American College of Veterinary Behaviorists
American College of Veterinary Sports Medicine
and Rehabilitation
American College of Veterinary Clinical
Pharmacology
American Veterinary Dental College
American College of Veterinary Dermatology
The Association of Shelter Veterinarians
American College of Veterinary Emergency and
Critical Care
American College of Veterinary Internal Medicine
6. Preventative Care
AAHA-AVMA Preventative Health Care Guidelines
AAHA Dental Guidelines
AAHA Nutritional Assessment Guidelines
AAHA Senior Care Guidelines
AAFP Guidelines for Indoor Cats
AAFP/AAHA Feline Lifestage Guidelines
Consumer version: CATegorical Care: An Owner’s Guide to
America’s #1 Companion @ www.Catalystcouncil.org
AAHA Nutritional Assessment Guidelines for Dogs and Cats
7. Health Testing
Orthopedic Foundation for Animals
Canine Health Information Center
List of genetic tests (dogs) available on CHF website (
www.akcchf.org)
List of genetic tests (cats) www.winnfelinehealth.org
www.yourcatsheart.com
www.yourdogsheart.com
8. Vaccines
World Small Animal Veterinary Association/UK
Kennel Club Canine Vaccine Guidelines
American Animal Hospital Association (AAHA)
Canine Vaccination Guidelines
American Association of Feline Practitioners
(AAFP) Vaccine Guidelines
What to Expect After Your Pet’s Vaccination
published by Animal Veterinary Medical
Association (AVMA)
CHF Podcasts on Vaccination Protocols and
Vaccinations & Infectious Disease
9. Parasite Control
Companion Animal Parasite Council
American Heartworm Society (www.heatwormsociety.org
)
ACVIM Small Animal Consensus Statement on Lyme
Disease in Dogs (www.acvim.org)
Advice on the Safe Use of Flea and Tick Products in Pets
issued by AVMA
Includes AVMA, EPA and FDA resources
10. Nutrition
CHF Podcasts on Canine Nutrition, Life Stage Nutrition,
Balanced Nutrition, Nutrigenomics, and Veterinary
Nutrition.
Information on how the FDA regulates pet food as well as
any recall information is published in the Animal &
Veterinary section of the FDA website.
Pet Nutrition Alliance
www.petnutritionalliance.org
11. Clinical Trials
Veterinary Cancer Society
National Cancer Institute Canine Clinical Trials
Veterinary Schools
Not just for cancer!
Links at www.akcchf.org in Participation Needed section
12. Cancer
www.akcchf.org/cancer
Canine Hereditary Cancer Consortium at the Van Andel
Institute
Colorado State University Animal Cancer Center
Top ten warning signs of cancer
Tumors by name
Tumors and specialized cell types
Tumors by location
13. Pain Management
AAHA/AAFP Pain Management Guidelines for Dogs & Cats
Types of pain
Anticipation and early intervention
Signs of pain
• International Veterinary Academy of Pain
Management: http://www.ivapm.org/
14. How to sniff out the news:
Case Study - Pet Food Recall
Alerted by Twitter, traditional news sources
about recall for concerns about salmonella
- Diamond post on their site, most did not
AVMA (not yet listed on their site)
I chose to post them one by one (as I could
confirm)
15. How to sniff out the news:
Case Study - Pet Food Recall
Pet Food recalls:
FDA Recall, Withdrawals and Safety Alerts
http://www.fda.gov/animalveterinary/safetyhealth/recallswithdr
Food Recall Product List:
http://www.accessdata.fda.gov/scripts/newpetfoodrecalls/
Dog Food Advisor:
http://www.dogfoodadvisor.com/dog-food-recall/diamond-anoth
blog: www.chicagonow.com/stevedale
16.
17. Case Study – The Vaccine Debate
Fervor began with Internet
Related to human vaccination issue, autism
- regardless of how you feel personally about affects on
autism no studies on pets
- vaccine guidelines – truth of those guidelines
- herd immunity
- are you willing to take on the law, re: rabies
18. Sourcing……Trusted or
Not
Bloggers do get information from other blogs…but does
that always mean that information is correct?
19. http://homeopathtyler.wordpress.com/2012/03/16/pets-to-vaccinate-or-not/
“I have been encouraging my clients to not
vaccinate or vaccinate less for the past 30
There’s years. All of the cases of Distemper and Kennel
Truth cough I have seen over these many years were
Here all vaccinated at some point in their lives. All
And a Parvo cases I have treated post 1978′s Parvo
Version epidemic had all been vaccinated. My reason
Of the for making this statement is that I want you to
Truth all be aware there are no guarantees whether
you vaccinate or not.
The majority of my patients are unvaccinated
or have only had their initial vaccines as
puppies or kittens and have not vaccinated
since. 95+ of all my new patients have still
been vaccinated annually even though this had
not been recommended in the veterinary
profession for over 10 years.”
20.
21. Believe it or Not?
Use “natural” flea products, like Brewer’s yeast
75% of dogs over 16 are affected by heart disease.
A surprising number of cats are arthritic, but using a
NSAID in a drug is deadly.
22. Believe it or Not?
Use “natural” flea products, like Brewer’s
yeast
Sources:
Michael Dryden, DVM, PhD, a University Distinguished Professor
of Veterinary Parasitology, in the Department of Diagnostic
Medicine and Pathobiology at Kansas State University. He is the
author or co-author of over 100 journal articles and book chapters.
He has lectured in 21 countries, presenting over 750 invited
seminars at national and international meetings.
Brewer’s Yeast actually helps to ‘grow’ fleas
Personal interview
Companion Animal Parasite Council
www.petsandparasites.org
23. Believe it or Not?
75% of dogs over 16 are affected by heart disease
That is the stat! Also, about 10% of dogs between 5 to 8
yrs.; 20-25% of dogs between the 9 to 12 yrs.; and 30-35% of
dogs over 13 yrs are affected.
Sources
Personal interviews:
Michael Luethy, DVM, Diplomate ACVIM;
Sonya G. Gordon, DVM, DVSc, Diplomate ACVIM, Associate Professor
of Cardiology, Texas A&M University;
www.yourdogsheart.com
24. Believe it or Not?
A surprising number of cats are arthritic, but using a NSAID drug is deadly.
Sources:
“Ninety percent of cats over 12 had evidence of degenerative joint disease.”
(Hardie et al, 2002) FAB: http://www.fabcats.org/owners/arthritis/info.html
“NSAID’s like meloxicam (Metacam) are metabolized via oxidation which is
efficient in cats.”
Tacke S., PhD; Norsworthy G., DVM, DABVP (feline) “The Feline Patient,
4th Edition,” (Wiley Blackwell, Ames, IA), 2011.
“One study showed a Cox-1 sparring effect in cats ” Little S. CVM, DABVP
(feline), “The Cat: Clinical Medicine and Management,” Elsevier, St. Louis,
MO), 2012.
25. Make A Difference
Sad news for our pets was announced at a press conference entitled,
"Houston, We Have a Problem," during the 2011 American Veterinary
Medical Association Convention.
23.9% of pet owning households spent $0 at a veterinarian’s (2006).
Experts suggest that number is higher today. AVMA
71% of veterinary professionals surveyed have cats living in their
home, but more than a third of them do not bring their cats in for an
annual wellness exam (let alone 2X annual visits). CATalyst Council, DVM News
Magazine
The problem has been a steady decline in our pets' health. For
example, more flea infestations; internal parasites up 13 percent in
cats and 30 percent in dogs since 2006, according to the Banfield Pet
Hospital State of Pet Health 2011 report. Potentially, this is a public
health issue since some of these parasites can also affect people.
Diabetes is up 16 percent in cats and 32 percent in dogs.
Speak about CHF experiences with people looking for free veterinary advice. Later Steve will be discussing the crisis we are facing with regard to pet owners failing to provide adequate veterinary care for their animals. Even if you don’t intend to take the place of veterinary advice, be aware that your readers may try to use your blog that way.
ACVIM covers oncology, neurology and cardiology. ACVSMR is the newest specialty and an area we expect to see future growth. Many of these specialty sites offer a feature to help find a specialist in a particular geographic region. Diplomates of these specialties have advanced training in the areas. These are the people you should be seeking out as sources on information on specialized veterinary topics. Links to all the veterinary specialties are available on the AKC Canine Health Foundation website in the resources section, as are all the other resources related to dogs in this presentation. So if you can’t find something or just want everything in the same place, remember the resource section of akcch.org.
The guidelines published for veterinarians are available for the general public. Although they are written for vets, these guidelines can help pet owners be better prepared for vet visits and are a great resource for pet bloggers who seek to understand the industry standards. Preventative Health Care Guidelines outline what every dog and cat should have and then what should be done based on the dog or cat’s individual situation. The Veterinary Oral Health Council is another resource for information about dental health and they endorse products for the oral health of your pet. The Senior care guidelines include minimum health screening requirements for dogs and cats as they age, common issues to look for as your pet ages, end of life decisions, and other concerns specific to the aging pet. We will talk about the Nutritional assessment guidelines some more when I get to the section of the presentation specific to nutrition.
Not here to have a debate about where people should find the dogs and cats they add to their families. However, if you have the opportunity to know the health status of the parents health testing is important. There are also many health tests that you may want for your own dog or cat whether your pet is healthy or having a health problem. Genetic tests for disease have more than one use. First, DNA tests are used by breeders to make informed breeding decisions to avoid passing down a genetic mutation that would cause disease. People seeking a purebred puppy are strongly recommended to do their research on the types of health testes recommended for the breed and determine if the parents were tested. The OFA and CHIC websites provide information about what tests are recommended for different breeds. The CHIC database also lists results for many dogs. The OFA website also provides very good information about some conditions that affect dogs such as hip dysplasia and patellar luxation (problems with the knee cap shifting out of place). Second, genetic tests can be used to confirm diagnosis when a pet is suspected of having a disease that is very difficult to diagnose. Degenerative Myelopathy is an example of a disease that is diagnosed by excluding all other potential illnesses and the genetic test can be helpful in this case. Your Dog’s Heart and Your Cat’s Heart.com provide great information about heart disease in dogs and cats. They also describe the symptoms of heart disease and tests that are available to diagnose heart disease such as echocardiograms.
Core Vaccines are those that are recommended for all dogs, barring special circumstances. Non-core vaccines are recommended based on the lifestyle and location of the animal in question. The World Small Animal Veterinary Association and AAHA publish vaccination guidelines with the frequency and initial age of vaccination. The AAHA guidelines also provide information about how vaccines are licensed in the United State and Canada. The guidelines are broken up into two parts – for the general veterinary practice (pets) and animals in a shelter environment. They also discuss potential adverse vaccination events and legal consideration related to vaccination.
These resources aim to stay outside the arguments of what brand works or doesn’t work. CAPC website has a great interactive map that will show regional infection risk data for fleas, ticks and worms. CAPC provides recommendations for parasite prevention and control. American Heartworm Society also provides canine and feline guidelines for prevention and treatment of heartworm, an incidence map and videos for pet owners. ACVIM statement contains data on treating Lyme and the controversial Lyme vaccine.
Nutrition can be a touchy subject for pet owners – especially with confusion over pet food recalls and advocates of raw diets. The Pet Nutrition Alliance is a world wide group made up of the: American Animal Hospital Association American Veterinary Medical Association American College of Veterinary Nutrition American Society of Veterinary Medical Association Executives Canadian Veterinary Medical Association National Association of Veterinary Technicians in America World Small Animal Veterinary Association The PNA provides nutritional assessment guidelines for dogs and cats and recommendations to veterinarians on how to include such an assessment into their examinations. These guidelines include good images of what dogs and cats should look like at an optimal weight. These guidelines are not brand specific nor to they advocate for or against a raw diet. They do recommend further evaluation by a board certified nutritionist when there is concern that home diets or unusual diets are not meeting the animal’s needs.
Clinical trials help veterinarians investigate methods to improve detection and treatment of disease, as well as improve the quality of care each patient receives. It can be devastating when your pet receives a diagnosis of cancer or some other canine disease. However, participation in a clinical trial may help your dog's prognosis and will advance veterinary science, helping future generations of dogs to have better outcomes. The requirements to participate in clinical trials vary greatly. Some offer financial compensation and others will require the dog owner to pay for the medical treatment. You and your dog will likely have to travel to the trial site multiple times, so look for trials in your geographic region.
Cancer is the canine health topic that probably has the largest number of amateur websites providing health information. Pet owners must be cautious and realize that cancer is a term that actually describes hundreds of different diseases that all have different outcomes for our pets. Be cautious of websites supplying generalizations about cancer. Good resources for cancer information include the AKC Canine Health Foundation, the Van Andel Institute and the CSU Animal Cancer Center.
Pain management is tricky with pets – they can be very stoic and hide their pain well! Pain management is an important topic as dogs continue to live longer and have common problems associated with aging such as osetoarthritis. Pain management is also an area that the AKC Canine Health Foundation has identified as a knowledge gap in veterinary medicine. More research is needed into effective pain management for pets. Guidelines also include Frequently overlooked causes of pain Types of drugs used in pain management Many additional online resources for pain managment